Provider Demographics
NPI:1558470187
Name:COLON ESTEVA, HORACIO RAFAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:HORACIO
Middle Name:RAFAEL
Last Name:COLON ESTEVA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:ESCORIAL BUILDING ONE
Mailing Address - Street 2:1400 AVE DE DIEGO STE 220 PMB 336
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-4703
Mailing Address - Country:US
Mailing Address - Phone:787-710-7385
Mailing Address - Fax:787-762-3623
Practice Address - Street 1:REY FRANOSCO 333
Practice Address - Street 2:LA VILLA DE TORRIMAR
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:939-579-2284
Practice Address - Fax:787-272-2340
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2017-12-01
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Provider Licenses
StateLicense IDTaxonomies
PR132632085D0003X, 2085N0700X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Neuroimaging
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
002-3395Medicare PIN